Revenue Cycle- Coding Coordinator- Remote

Ochsner Health • New Orleans, LA

1d • Remote

About The Position

This job researches, analyzes and resolves pre-bill errors/edits related to provider based billing and outpatient diagnostic testing. Works closely with the business office in researching post billing denials, patient inquiries, identifies and documents, and recommends solutions to the root cause of the problems to improve the overall internal and operational system efficiencies and optimizes revenues. Advises department leadership on HIM and billing issues including soft coding processes to ensure all charges and medical documentations are appropriate and complete. To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential duties. This job description is a summary of the primary duties and responsibilities of the job and position. It is not intended to be a comprehensive or all-inclusive listing of duties and responsibilities. Contents are subject to change at the company's discretion.

Requirements

• High school diploma or equivalent.
• Certification from an accredited billing and coding trade school; OR Successful completion of the company's coding intern program.
• Certified Professional Coding certification required within 6 months of employment (CPC, CPC-A, CPC-H, CIC, CPC-P, CANPC, CCC, CEDC, CEMC, CGIC, CGSC, CIRCC or COSC).
• Employee holding a CPC-A (Apprentice) designation are considered certified and must obtain removal of the apprentice status upon meeting AAPC experience requirements.
• Proficiency in using computers, software, and web-based applications.
• Effective verbal and written communication skills and ability to present information clearly and professionally to varying levels of individuals throughout required job processes.
• Analytical, interpretive, decision-making, judgment and technical writing skills.
• Leadership, interpersonal and time management skills and ability to prioritize, organize and coordinate multiple areas and assignments under fast-paced, changing conditions and constant interruptions to meet deadlines.
• Ability to be self-directed, work with minimal or no supervision, and maintain confidentiality.
• Deductive reasoning skills and ability to anticipate issues that adversely impact the function of the department and to solve problems.
• Ability to be detail oriented and develop and facilitate presentations, seminars, and workshops.
• Ability to work evenings, weekends, holidays, and extended shifts and travel throughout and between facilities as needed.

Nice To Haves

• Coding review experience in ICD-9-CM / ICD-10-CM.

Responsibilities

• Resolves or coordinates the resolution of pre-bill edits, post-bill denials and patient inquiries on a timely basis related to limited outpatient accounts such as provider-based billing and outpatient diagnostic testing in Epic and X-claim.
• Resolves and provides education and feedback to billing and follow-up team to continuously reduce the number of edits.
• Plans, organizes, and prioritizes work, maintains department quality assurance and productivity standard, and exhibits continuous improvement of knowledge related to coding edits.
• Reviews policies, procedures, and practices for compliance with established legal standards and state guidelines and ensures that all work complies with standard departmental procedures and guidelines.
• Manages professional development and completes special projects as assigned.
• Performs other related duties as required.
• Remains knowledgeable on current federal, state and local laws, accreditation standards or regulatory agency requirements that apply to the assigned area of responsibility and ensures compliance with all such laws, regulations and standards.
• This employer maintains and complies with its Compliance & Privacy Program and Standards of Conduct, including the immediate reporting of any known or suspected unethical or questionable behaviors or conduct; patient/employee safety, patient privacy, and/or other compliance-related concerns.

Benefits

• Ochsner Health does not consider an individual an applicant until they have formally applied to the open position on this careers website.
• The employer is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status, or disability status.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED
• Number of Employees: 11-50 employees